Effectiveness of a Web-Based Direct-to-User Transfer Training Program: A Randomized Controlled Trial.
Stephanie K Rigot, Kaitlin M DiGiovine, Michael L Boninger and 3 others
PMID 34090854WHAT IT FOUND
The web-based transfer training did not clearly beat the waitlist group's change.
Transfer quality improved after training plus repeated self-assessments and stayed higher at 1 month.
Key findings
01The training group's transfer-quality score was higher than the waitlist group's at 1 month, but the change from baseline to 1 month was not different between groups.
02Participants who completed training improved their transfer-quality scores immediately after training and at 1 month post-training.
03Lower pre-training transfer-quality scores and higher shoulder-pain scores predicted greater percent change at 1 month post-training.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
The waitlist group also improved transfer quality from baseline to 1 month, so repeated self-assessment learning cannot be separated from the training. The between-group change was not significant, even though the training group had a higher score at 1 month. Transfer quality was self-rated with a measure that has moderate reliability, and wheelchair users may underestimate transfer quality. Follow-up was inconsistent because of technical difficulties, staff turnover, and longer training completion times, which led to missed timepoints. The sample was more female, white, had more participants with paraplegia, higher incomes, and higher education than the general SCI population. Participants who did not complete training had lower baseline transfer quality, so the people who needed it most were less likely to finish. The study did not show effects beyond 1 month after training. The waitlist group had two more transfer self-assessments before training than the immediate group. This makes the comparison less clean.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not conclude that web-based training alone caused the improvement. The waitlist group also improved with repeated self-assessments, and the between-group change was not significant.